Please use this identifier to cite or link to this item: http://dspace.cvasu.ac.bd/jspui/handle/123456789/811
Title: COMPARATIVE ANALYSIS OF CAESAREAN SECTION AND NON-CAESAREAN DELIVERY WITH ITS ASSOCIATED FACTORS IN URBAN AND RURAL AREAS OF CHATTOGRAM, BANGLADESH
Authors: Ishrat Jahan
Keywords: Caesarean section, vaginal delivery, postpartum complications.
Issue Date: Jun-2019
Publisher: Chattogram Veterinary & Animal Sciences University
Abstract: Caesarean section rates have been increasing worldwide, giving cause for concern because of increased maternal and perinatal morbidity and mortality associated with high Caesarean section rates. Cesarean delivery rate in Bangladesh has been increased remarkably in present time, from 4% in 2004 to 31% in 2016. Caesarean sections (CS) cause severe complications and bring about bad consequences in maternal and child health. However, the factors responsible for the increased CS rates in Bangladesh and how CS causes severe complications and bring about bad consequences in maternal and child health are not well understood. This study aims to describe factors associated with high Caesarean section rates in Bangladesh as well as to describe the postpartum and child complications associated with vaginal or caesarean delivery. This study utilized a quantitative cross sectional descriptive design. A preform questionnaire was used to collect data from rural and urban women between January and May 2019. Demographic, obstetric, non obstetric factors, postpartum and child health complications were described. Pearson‘s Chi-square, Fisher‘s exact and likelihood tests were used as tests of association between independent variables and Caesarean section. The results show that a combination of doctor‘s profit making tendency and demand from family with higher socio-economic status, particularly in urban areas (41.5%) than rural areas only 14.3% contributed to the recent increased caesarean rate in Bangladesh. However, socio-demographic factors, maternal and fetal obstetric factors were also associated with higher rate of caesarean section in Bangladesh. The information on post-surgical complications, medicine and anesthesia were not sufficient to women and most of information provided by doctor‘s assistant. There was a significant association of back pain and distended abdomen with Caesarean section (P< 0.05). There was no significant association of urinary incontinence and pelvic organ prolapse with CS. Children delivered by cesarean section had an increased likelihood of cold fever and pneumonia and the association was stronger among children of vaginal delivery. No increased risk of neonatal death was seen among children delivered by cesarean section. Health system of Bangladesh is poorly regulated and there is lack of evidence-based guidelines for decision making about caesarean delivery. The decision to perform a CS must be chosen and monitor carefully and should not be profit oriented.
URI: http://dspace.cvasu.ac.bd/jspui/handle/123456789/811
Appears in Collections:Thesis-MS

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